| Country-side Counseling & Consultation Services, Pc | |
|
388 N 3rd Ave Suite F Fruitport MI 49415-9785 | |
| (231) 571-0082 | |
| Not Available |
| Full Name | Country-side Counseling & Consultation Services, Pc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 388 N 3rd Ave, Fruitport, Michigan |
| Authorized Official Name and Position | Roger Dale Bayne (PRESIDENT) |
| Authorized Official Contact | 2315710082 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Country-side Counseling & Consultation Services, Pc 388 N 3rd Ave Suite F Fruitport MI 49415-9785 Ph: (231) 571-0082 | Country-side Counseling & Consultation Services, Pc 388 N 3rd Ave Suite F Fruitport MI 49415-9785 Ph: (231) 571-0082 |
| NPI Number | 1184940751 |
|---|---|
| Provider Enumeration Date | 04/08/2010 |
| Last Update Date | 10/27/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184940751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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› Verified 8 days ago
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